Individual
MADDISON ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7312
Mailing address
297 E FAR HILLS DR, EAST PEORIA, IL 61611-1205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015984
IL
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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